Individual
KAYLA GIESCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(313) 330-6702
Mailing address
1129 W DRUMMOND PL, COACH HOUSE, CHICAGO, IL 60614-3709
(313) 330-6702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
06/23/2016
Last updated
08/04/2016
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